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Heat
and Cold Therapies
Heat and cold
can both be used to reduce the pain and inflammation of arthritis.
Heat therapy,
which increases blood flow, tolerance for pain, and flexibility,
can involve treatment with paraffin wax, microwaves, ultrasound,
or moist heat.
Physical therapists
are needed for some of these therapies, such as microwave or ultrasound
therapy, but patients can apply moist heat themselves. Some ways
to apply moist heat include placing warm towels or hot packs on
the inflamed joint or taking a warm bath or shower.
Cold therapy,
which numbs the nerves around the joint, reduces pain and may
relieve inflammation and muscle spasms. Cold therapy can involve
cold packs, ice massage, soaking in cold water, or over-the-counter
sprays and ointments that cool the skin and joints.
Capsaicin
cream is a preparation put on the skin to relieve joint or muscle
pain when only one or two joints are involved.
Hydrotherapy,
Mobilization Therapy, and Relaxation Therapy
Hydrotherapy,
which involves exercising or relaxing in warm water, takes some
weight off painful joints, making it easier to exercise. It helps
relax tense muscles and relieve pain.
Mobilization
therapies include traction (gentle, steady pulling), massage,
and manipulation. (Someone other than the patient moves stiff
joints through their normal range of motion.) When done by a trained
professional, these methods can help control pain, increase joint
motion, and improve muscle and tendon flexibility.
Relaxation
therapy helps reduce pain by teaching people various ways to release
muscle tension throughout the body. In one method of relaxation
therapy, known as progressive relaxation, the patient tightens
a muscle group and then slowly releases the tension. Doctors and
physical therapists can teach patients a variety of relaxation
techniques.
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